FORM

1. 1/1
FORM 30
[SEE RULES 55(2)AND (3)]
Application No: OR211205V9942069
APPLICATION FOR INTIMATION AND TRANSFER OF OWNERSHIP OF A MOTOR VEHICLE
(To be made
in duplicate if the vehicle is held under agreement of hire
purchase/lease/hypothecation. The duplicate copy with the
endorsement of the Registering Authority to be
returned to the
Financier simultaneously on making the entry of Transfer of
Ownership in the Certificate of Registration and Registration Record
in Form 24)
To
THE REGISTERING AUTHORITY,
(BALASORE)
PART-I FOR THE USE OF THE TRANSFEROR
Name of the Transferor MONARANJAN NAIK
Son/Wife/Daughter of MADHA NAIK
Full Address AT-BAURIORA.PO-TENTULIA,PS-BERHAMPUR,MAYURBHANJ,,Pincode-756058Odisha
I/we, here by declare that I/we have on this day 24 Nov the year 2021 sold my/our
motor vehicle bearing Registration mark OD01K6869
to Shri/Smt. APHRALINKAN SAHU
Son/Wife/Daughter of SHIBANARAYAN SAHU
residing at NA,TURUMUNGA,TURUMUNGA,Kendujhar,Pincode-758046,Odisha
(Full Address) and handed over the Certification
of Registration
and the Registration and the Certification of Insurance to
him/her/them.
I/We hereby declare that to the best of my/our
knowledge the Certificate of Registration of the vehicle has not
been suspended* or canceled.
*I/We enclose the (No Objection
Certificate) issued by the Registering Authority.
**If the
"No Objection Certificate" issued from the Registering Authority is
not enclosed, the transferor should file along with this application
a declaration as required under sub -
section(1) of Section-50.
Date:_____________________ Signature or thumb impression of the Transferor
*Details of suspension
or cancellation
**Strike
out whichever is inapplicable.
PART-II FOR THE USE OF TRANSFEREE
I/We hereby declare NA
as the nominee for this vehicle who is my/our NA
.
Name of the Transferee APHRALINKAN SAHU
Son/Wife/Daughter of SHIBANARAYAN SAHU Age
............ Full Address NA,TURUMUNGA,TURUMUNGA,Kendujhar,Pincode-
758046,Odisha (Proof of
Address to be enclosed), Mobile Number 9634354094 .
I/we, here by declare that I/we have on this day 24 Nov of the year 2021 Purchased the
motor vehicle bearing registration Number OD01K6869
from (MONARANJAN NAIK and
AT-BAURIORA.PO-TENTULIA,PS-BERHAMPUR,MAYURBHANJ,,Pincode-756058Odisha)and
request that necessary entries regarding the transfer of ownership
of the vehicle
in my/our name may be recorded in the Certificate of
Registration/Certificate of Fitness of the vehicle which is
enclosed.
The certificate of Insurance is also
enclosed.To the best of my knowledge and belief, I/We have not
suppressed any facts and information furnished is true. The vehicle
is not
superdari and free from all in encumbrances. I/We undertake
to hold myself responsible for any inaccuracy of information.
Date:_____________________ Signature or thumb impression of the Transferee
Consent of the financier in the case of motor vehicle subject to an agreement of Hire-Purchase/Lease/Hypothecation
I/We being a party to an agreement of
hire-purchase/lease/hypothecation in respect of motor vehicles
pecified above give consent to the transfer of ownership of the said
motor
vehicle in the name of Transferee named above , with whom I/We
have bound into an agreement of hire-purchase/lease/ hypothecation.
(Full name and address of the Financier)
Date:_____________________
Signature of the Financier
Date:_____________________
OFFICE ENDORSEMENT
Ref. No. ___________________office of the BALASORE.
The
transfer of ownership of the vehicle under continuation of an
endorsement of the hire-purchase/lease/hypothecation agreement has
been recorded with effect from
____________ in the Registration
Certificate of the vehicle OD01K6869 and in the
registration record of this office in Form 24.
Date:_____________________ Signature of Registering Authority
To
The Financier,
(To be sent by Registered Post Acknowledgment Due)
Specimen
signature or thumb impression of the registered owner and the
Financier are to be obtained in the original application for
affixing and attestation by the Registering
Authority with the
office seal in Forms 23 and 24, in such manner that the parts of
impression of seal or stamp and attestation shall fall upon each
signature.
Specimen Signature of the Financier
1.
2.
Specimen Signature of Registered Owner
1.
2.
Enclosed Documents:
1. Original Registration Certificate
2. Self Attested copy of valid vehicle insurance certificate
3. Self Attested copy of address proof of the registered
vehicle owner
4. Self Attested copy of valid pollution certificate
5. No objection certificate from the financier